Marchesi M, Biffoni M, Mastropietro T, Millarelli M, Marzullo A, Campana F P
VIII Patologia Chirurgica, Università degli Studi La Sapienza, Roma.
G Chir. 1997 Nov-Dec;18(11-12):820-2.
Riedel's thyroiditis is a very rare disease of unknown aetiology, occasionally associated with retroperitoneal and mediastinal fibrosis. It is a benign condition, but may be confused with an anaplastic carcinoma of the thyroid. The differential diagnosis with anaplastic carcinoma is assured only by intraoperative biopsy. The Authors report a clinical case: symptoms were a progressive enlargement of the thyroid gland, left recurrential palsy, dyspnoea and dysphagia. The surgical treatment was total thyroidectomy, performed with bilateral neurolysis of recurrent nerves. The patient was also under adjuvant corticosteroid treatment.
里德尔甲状腺炎是一种病因不明的极为罕见的疾病，偶尔与腹膜后和纵隔纤维化相关。它是一种良性病症，但可能与甲状腺未分化癌相混淆。只有通过术中活检才能确保与未分化癌进行鉴别诊断。作者报告了一例临床病例：症状为甲状腺进行性肿大、左侧喉返神经麻痹、呼吸困难和吞咽困难。手术治疗为全甲状腺切除术，并对喉返神经进行双侧神经松解。患者还接受了辅助性皮质类固醇治疗。
